Individual
DR. JOSEPH M VITOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
1801 W WISCONSIN AVE RM 141S, MILWAUKEE, WI 53233-2186
(414) 288-3640
Mailing address
1165 CLUB CIR APT 402N, BROOKFIELD, WI 53005-6994
(414) 313-9850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01648200
NJ
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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